Today's wastewater systems have been built to improve the hygiene level within households and the quality of water for other users, but have on the other hand created another environmental problem in the production of sludge. In many Western societies more than 50% of sludge produced is being distributed on agricultural land, and resistance to this practice among farmers is growing. In a survey answered by 1050 farmers, attitudes, experiences and knowledge towards use of sludge were investigated. Reasons for use were soil conditioner properties and compensation schemes. Reasons for non-use were fear of toxic compounds and infectious remnants, restrictions on use of land and unfamiliarity with use. There was more knowledge among users than among non-users. Compensation for sludge among farmers implied a perception of sludge as a waste. If farmers must accept sludge, then reliable and complete information from trusted sources is required: economic arguments about agronomic benefits are not sufficient and confidence with other stakeholders and a feeling of justice in solving environmental problems are central aspects.